BURDEN AMONG WHITE AND BLACK CAREGIVERS TO ELDERLY ADULTS
BURDEN AMONG WHITE AND BLACK CAREGIVERS TO ELDERLY ADULTS
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DOI：
10.1093/geronb/50b.2.s110
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发表时间：
1995-03-01
影响因子：
6.2
通讯作者：
LAZUR, AM
中科院分区：
文献类型：
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作者：
FREDMAN, L;DALY, MP;LAZUR, AM
从1982年全国长期护理调查及其补充，全国非正式护理人员调查中，对1,062名白色和159名黑人护理人员的护理人员负担的种族差异进行了评估。黑人照顾者进行更多的活动，并照顾有更大的功能和认知障碍的人。然而，白色照顾者在线性回归分析中报告了显着更多的负担，控制协变量。单独的，种族特异性回归模型的结果显示，照顾者的人口统计数据（女性，照顾者的配偶，和较差的自我评价的健康），照顾活动（帮助与ADL，额外的时间花在照顾，不能离开照顾者独自一人），和照顾者的需求（IADL限制，认知障碍或代理访谈，最近住院治疗）显着相关的负担之间的白色照顾者。当这个模型在黑人照顾者中复制时，唯一具有统计学意义的变量是较差的自我评价健康状况，活动（帮助ADL，额外的时间活动，不能让照顾者单独呆着），以及照顾者的认知障碍。这些结果强调了在评估白色和黑人照顾者的负担时，照顾活动的重要性。
Racial differences in caregiver burden were evaluated among 1,062 White and 159 Black caregivers from the 1982 National Long-term Care Survey and its supplement, the National Survey of Informal Caregivers. Black caregivers performed more caregiving activities and cared for persons with greater functional and cognitive inpairment. However, White caregivers reported significantly more burden in linear regression analyses, controlling for covariates. Results of separate, race-specific regression models showed that caregiver demographics (being female, spouse of the care recipient, and poorer self-rated health), caregiving activities (helps with ADLs, extra time spent caregiving, unable to leave care recipient alone), and care recipient needs (IADL limitations, cognitive impairment or proxy interview, recent hospitalization) were significantly associated with burden among White caregivers. When this model was replicated in Black caregivers, the only statistically significant variables were poorer self-rated health, caregiving activities (helps with ADLs, extra time caregiving, unable to leave care recipient alone), and cognitive impairment of the care recipient. These results underscore the importance of caregiving activities in assessments of burden among White and Black caregivers.